Form I-7 Short Form - Cleveland Heights Individual Income Tax Return - 2000
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1FORM I-7 SHORT FORM
CLEVELAND HEIGHTS INDIVIDUAL INCOME TAX RETURN
TAX YEAR 2000
MAIL TO: PO BOX 641747, CINCINNATI, OH, 45264-1747
MUST BE FILED BY MARCH 15, 2001
(216) 291-3978
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SS#
SPOUSE’S SS#
THIS YEAR’S FILING STATUS:
JOINT
SEPARATE
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LAST YEAR’S FILING STATUS:
JOINT
SEPARATE
RECENT MOVE DATE:
/
/
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From Cleveland Heights
To Cleveland Heights
Previous or New Address (circle one)
City, State, Zip
Home Phone (
)
Work Phone (
)
WHO MAY USE THE I-7 FORM:
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The I-7 Short Form is only for people with wage income from Federal Form W-2 or 1099 Misc.
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If you have Federal Schedule C or Schedule E non-wage income, you must use Cleveland Heights I-8 Long Form.
•
When using this form, the City will calculate your tax and send you a bill if you owe tax.
INSTRUCTIONS:
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For each employer enter your wages and withholding (if any) in Table I below. If your employer withheld for more than one
city on the same income, only list that income once, but use two lines for the municipal tax withheld.
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If you do not have Federal Form 2106 expenses, ignore Columns B and C.
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Attach copies of forms W-2 and 1099 Misc. and mail between January 1 and March 15, 2001.
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This form is due no later than MARCH 15, 2001 so that we can mail you a bill.
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Tax payments not received by April 16, 2001 are subject to 20% penalty, plus interest charges.
2001 ESTIMATED TAX
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Estimated tax for 2001 will be calculated based on this year’s income and tax liability.
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If your income will significantly change from this year, check here and fill out the estimated tax worksheet on the back.
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IF THERE IS AN OVERPAYMENT OF TAX, PLEASE:
CREDIT TO ESTIMATED PAYMENTS FOR TAX YEAR 2001
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REFUND
TABLE I: WAGE INCOME (Income from W-2 and 1099 Misc. Forms)
COLUMN A
COLUMN B
COLUMN C
COLUMN D
COLUMN E
COLUMN F
List Wages From
2106 Expenses (if any)
Subtract B from A
Municipal Tax
City Withholding
Do not
Resident City
Each Employer
(From Federal
(Income after
Withheld
Paid to
use
(Highest Amount on W-2)
2106 Form)
Expenses)
(W-2, Box 21)
(W-2, Box 19)
(Usually Box 5 or Box 20)
Total
Total
Examples of Taxable Income
Examples of Non-Taxable Income
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Wage Income:
Interest, dividends
•
•
All income listed on Federal Forms W-2 or 1099 Misc.
Pensions, Social Security
•
•
Wages, salaries, bonuses, and other compensation
Welfare, state-paid unemployment benefits
•
(Includes deferred compensation contributions, [e.g. 401(k)]
Workmen’s Compensation, proceeds from insurance
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•
Educational grants (except portion for tuition/fees/books)
Active Military pay (does not include civilian personnel)
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Non-wage income: (cannot use this form – use I-8 Long Form)
Alimony
•
•
Net profit from business (Federal Schedule C)
Lottery and gambling winnings
•
Income from rental property (Federal Schedule E)
Under penalty of perjury, the undersigned declares this return and attached documents to be true and complete:
Taxpayer’s signature
Date
Spouse’s signature
Date
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